Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457322802 Individual Practitioner Male Practitioner

Dr. John Robert Paulson , MD

Pediatrics • Maple Grove, MN

Professional Overview & Biography Verified Profile Summary

Dr. John Paulson, MD is a registered healthcare professional specializing in Pediatrics in Maple Grove, MN. Practice services are available at 12000 ELM CREEK BLVD N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12000 Elm Creek Blvd N
#250

Maple Grove, MN 553697073

Telephone 9524018300
Associated Practice Facility / Clinic
🏢 Maple Grove Urgent Care Facility NPI 1609834944

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Maple Grove, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
30 Specialists

Practicing in Maple Grove, MN (1325 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 38883

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ucare
111714 (MN)
Commercial Insurance / Payer ID Medica
1208118 (MN)
Commercial Insurance / Payer ID Bluecross
32Y76PA (MN)
Commercial Insurance / Payer ID Preferred One
CP9041011314 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Stephanie Sperl , MSN, APRN, CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1093276172

Master of Science in Nursing, Advanced Practice Registered Nurse, CPNPPC

Andrea Gravley , CPNP

Nurse Practitioner - Pediatrics

NPI 1104074434

Certified Pediatric Nurse Practitioner

NPI 1134191901

Doctor of Medicine (M.D.)

Lynnea Piotter , PNP

Registered Nurse

NPI 1134264161

Pediatric Nurse Practitioner

NPI 1154393304

Doctor of Medicine (M.D.)

NPI 1154594109

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 12000 ELM CREEK BLVD N, #250, MAPLE GROVE, MN 553697073 (Tel: 9524018300)

📍
Updated Business Mailing Address July 09, 2007

Registered at 17705 HUTCHINS DR, #101, MINNETONKA, MN 553454145 (Tel: 9524018300)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as JOHN PAULSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Pediatrics (License #38883 in MN)

🟢
Initial NPI Registration & Enumeration February 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457322802
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

17705 Hutchins Dr, #101

Minnetonka, MN 553454145

Phone: 9524018300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.